Silicosis in the form of progressive massive fibrosis: A diagnostic challenge

Somnath Bhattacharya, Atin Dey, Amitava Pal, Saurav Kar, Sayantan Saha

Indian Journal of Occupational and Environmental Medicine 2016 20(2):114-117

Silicosis is a major occupational lung disease with a relatively fatal and irreversible outcome. Early diagnosis for shifting the potential candidates to safe modes of workplace as well as for prevention of further progression is the cornerstone of management. Here, we present a complicated case of silicosis in the form of progressive massive fibrosis, which was initially interpreted as tuberculosis; radiological images had resemblance with tuberculosis and cryptogenic organizing pneumonia. Radiology-guided trucut biopsy was imperative to confirm the diagnosis.

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